This workshop discusses how insurers are exploring retail health options like retail stores and urgent care clinics to control costs, attract customers, and coordinate care. The workshop will begin with a brief history of retail health and insurance, followed by case studies of successful organizations. It will conclude with an open discussion on the future of retail stores and clinics for insurers, focusing on their purpose, impact on relationships with members and providers, payment models, and incorporating them into accountable care models.

1. 2013-03 Workshop on Assessing the
Current Landscape of Retail Health
a presentation by Kevin Riley
for the 5th Annual Leadership Summit
on Health Plan Innovation
Wednesday March 13, 1:00 – 4:00 PM
This content is property of Kevin Riley & Associates – All Rights Reserved.

2. Synopsis
Workshop D: Assessing the Current Landscape of Retail
Health: Opportunities for Revenue, Member Engagement, and
Care Coordination through Retail Stores and Urgent Care Clinics
In this workshop, learn how insurers are exploring this changing
dynamic to not only control costs, but also attract new customers
and coordinate member care.
What You will Learn:
• Understanding the purpose and use of a retail storefront
• Assessing the impact on the plan-member relationship
• Understanding the payment model for a retail care clinic
• Assessing the impact on the plan-provider relationship
• Incorporating retail clinics and urgent care centers into
accountable care and changing models

3. 1 Story in 3 Parts
This workshop will be split into three distinct sections:
• Part 1 – A brief history of retail health / insurance
• Part 2 – Case Studies from successful organizations
• Part 3 – Open Discussion and Q&A with panelists and
audience on "The Future of Retail Stores and Clinics for
Insurers"

4. Premise
Consumer-directed healthcare empowers consumers by
providing them with information about price and treatment
options so that they can pursue cost-saving opportunities.
As a result, a growing number of managed care
organizations are adding retail health clinics in stores within
their networks and are realizing substantial cost savings.
Consumers want convenience in their
health care options which is right in line
with theses stores offerings.

5. Some Good Advice
“start from scratch and
figure out how to create fundamentally new
types of value for customers”
from Ron Johnson (the guy who built the apples stores and is now CEO of J.C. Penney)
5

6. Part 1 - The Evolution of Retail Health
One Day Events Retail Clinics The Wired Self
Screening and flu shots Primary care provided Mobile devices and
at big box retailers, in convienent smartphones that track
usaually on one or two locations with more than out steps, and
days extended hours reward us
Mobile Health Insurance Stores Healthy Gaming
Health screenings in a Retail centers that sell Buy the shoes and the
mobile unit at your work and servioces game, work out and
and neighborhoods insurance policies show your doctor

7. Part 2 - Case Studies

8. Retail Stores: What They Do

9. Example: Freestanding Store

10. Example: Store within a Store

11. Example: Humana’s Evolution

12. Example: Bernard Health

13. Example: Costco/Walmart

14. Example: Store & Clinic

15. Part 3 – Open Discussion
Discussion Points on the Future of Retail Stores and
Clinics for Insurers
• Understanding the purpose and use of a retail storefront
• Assessing the impact on the plan-member relationship
• Understanding the payment model for a retail care clinic
• Assessing the impact on the plan-provider relationship
• Incorporating retail clinics and urgent care centers into
accountable care and changing model